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Occurrence Summary Reports for:
COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH
Thursday, September 21, 2017 1:22 AM

Facility: COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH
Date of Occurrence: 5/3/2016
Report Timely: Yes
Type of Occurrence: Abuse/Physical

DESCRIPTION OF OCCURRENCE:
On 05/03/16 a male patient, in his 20's, alleged an officer pushed and injured him during a containment struggle.

FACILITY ACTION:
The facility conducted an internal investigation and notified the police. The patient was admitted to the facility related to various criminal charges and legal cases. He had a long history of mental illness and was identified as aggressive with staff during his stay. On 05/03/16, the patient argued with staff about his bed time, which was identified as an ongoing issue for him. The patient was acting in an aggressive manner and was yelling at officers. He entered his room but refused to allow the door to be closed despite unit rules. He put his finger in the face of an officer and was placed in a wall containment, during which time the lenses of his glasses fell out. He was escorted to a seclusion room, but continued to struggle. Once inside the room, he was again placed in a wall containment and then contained on the bed. As restraints were applied, the patient continued to struggle. He was assessed by a nurse immediately following placement into seclusion and restraint. He denied pain during the assessment. The following day, the patient alleged an officer pushed him "too hard" against the wall during the previous day's struggle, hurting his chin. A nurse assessed the patient, noting he had full range of motion of the neck and no visible signs of injury. He was treated with anti-inflammatory medication for his report of pain. Interviews revealed the patient alleged an officer used "untrained" technique during the struggle. The patient stated he was held against the wall when he should have been held on the floor. He stated he was placed on his knees and his face was smashed into the wall. The patient denied the use of excessive force, clarifying that the officer used an untrained technique. The five correctional officers and one mental health counselor (MHC) involved in the event denied the use of excessive force or unapproved technique for containment. The MHC who assisted an officer with the wall containment denied that the patient was placed on his knees and noted the patient struggled to get away by attempting to kick the MHC and officers. The facility noted all officers were trained in the wall containment technique during Continuum of Therapeutic Intervention (CTI) training. The MHC and involved officers acknowledged the patient's glasses were accidently knocked off due to the patient struggling to get away. The facility concluded the officer and MHC utilized an approved CTI technique to conduct a wall containment. The facility was unable to substantiate the patient's allegation.

DEPARTMENT FINDINGS:
The Department reviewed the facility's report and supplemental documentation and found that the facility acted appropriately by reporting the occurrence, notifying the appropriate persons and agencies and conducting an investigation.

The Department will review this occurrence prior to the next survey.

Sent to Facility: 5/26/2016

FACILITY COMMENT: Following receipt of the above summary, no additional comments were submitted by the facility.


Released to Public: 6/7/2016

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